Individual
DR. MARJORIE C HEPPNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1130 TEN ROD RD, MEADOWS OFFICE PARK SUITE D205A, NORTH KINGSTOWN, RI 02852-4158
(401) 295-5320
(401) 295-5320
Mailing address
1130 TEN ROD RD, MEADOWS OFFICE PARK SUITE D205A, NORTH KINGSTOWN, RI 02852-4158
(401) 295-5320
(401) 295-5320
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS00378
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
93404
BLUE CROSS BLUE SHIELD
RI
Enumeration date
11/27/2006
Last updated
08/04/2010
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